#@ucenter_layout()

#define content()

<section class="content">

    <div class="container-fluid">
        <div class="card card-outline card-primary">

            <div class="card-header">
                <h1>提现申请</h1>
            </div>

            <!-- /.card-header -->
            <!-- form start -->
            <form class=" autoAjaxSubmit" autocomplete="off"
                  data-ok-href="#(CPATH)/ucenter/finance/amount/payout"
                  action="#(CPATH)/ucenter/finance/amount/doPayoutSubmit">
                <div class="card-body">

                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">您当前余额</label>
                        <div class="col-sm-7">
                            <input type="input" class="form-control" value="#number(userAmount,'0.00')" readonly>
                        </div>
                    </div>


                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">提现金额</label>

                        <div class="col-sm-7">
                            <input type="input" class="form-control" placeholder="请输入提现金额，单位：元..."
                                   value="" name="payoutAmount">
                        </div>
                    </div>


                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">身份证号码</label>
                        <div class="col-sm-7">
                            <input type="input" class="form-control" placeholder="您的真实姓名"
                                   name="realName">
                        </div>
                    </div>


                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">身份证姓名</label>
                        <div class="col-sm-7">
                            <input type="input" class="form-control" placeholder="真实身份证号码..."
                                   name="idcard">
                        </div>
                    </div>


                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">提现到</label>
                        <div class="col-sm-7">
                            <select class="form-control" name="payType">
                                <option value="alipay">支付宝账号</option>
                                <option value="wechat">微信账号</option>
                                <option value="boc">中国银行</option>
                                <option value="abc">农业银行</option>
                                <option value="icbc">工商银行</option>
                                <option value="ccb">建设银行</option>
                                <option value="bankcomm">交通银行</option>
                                <option value="cmb">招商银行</option>
                                <option value="otherbank">其他银行</option>
                            </select>
                        </div>

                    </div>


                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">收款账号</label>

                        <div class="col-sm-7">
                            <input type="input" class="form-control" placeholder="请务必填写正确..."
                                   name="payTo">
                        </div>
                    </div>


                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">备注</label>
                        <div class="col-sm-7">
                            <textarea rows="3" class="form-control" placeholder="提现备注..." name="remarks"></textarea>
                        </div>
                    </div>


                </div>

                <div class="card-footer">
                    <div class="offset-sm-2 col-sm-10 submit-block">
                        <div class="card-submit">
                            <button type="submit" class="btn btn-primary">申请提现</button>
                        </div>
                    </div>
                </div>
            </form>
        </div>
    </div>

    </div>

</section>
#end
